Organization Active NPI

Mountain Valley School

  • Local Education Agency (LEA)
  • Saguache, CO
National Provider Identifier
1871670901
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MOUNTAIN VALLEY SCHOOL
Practice address
403 Pitkin Ave
Saguache, CO 81149
Phone
(719) 655-0267
Fax
(719) 655-0269
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lisa Dawn Hammel, RN
Title
RN School Nurse
Phone
(719) 655-2578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X CO Primary

Addresses

Primary practice location

403 Pitkin Ave
Saguache, CO 81149

Mailing address

PO Box 127
403 Pitkin Ave
Saguache, CO 81149
Phone (719) 655-0267

Other identifiers 1

IdentifierTypeStateIssuer
00873233MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871670901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "address_2": "403 PITKIN AVE",
            "city": "SAGUACHE",
            "state": "CO",
            "postal_code": "81149",
            "telephone_number": "719-655-0267",
            "fax_number": "719-655-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PITKIN AVE",
            "city": "SAGUACHE",
            "state": "CO",
            "postal_code": "81149",
            "telephone_number": "719-655-0267",
            "fax_number": "719-655-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMMEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "RN SCHOOL NURSE",
        "authorized_official_telephone_number": "719-655-2578",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00873233",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saguache, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.